Healthcare Provider Details

I. General information

NPI: 1336509926
Provider Name (Legal Business Name): HEALTH E SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2016
Last Update Date: 02/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 W LEMON ST SUITE 311
TAMPA FL
33609-1111
US

IV. Provider business mailing address

5100 W LEMON ST SUITE 311
TAMPA FL
33609-1111
US

V. Phone/Fax

Practice location:
  • Phone: 813-769-1880
  • Fax:
Mailing address:
  • Phone: 813-769-1880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. DARYL CORR
Title or Position: PRESIDENT
Credential:
Phone: 813-769-1880